Gayle L Braunholtz, MD
Individual provider Active NPI Emergency Medicine Physician · Vail, CO
NPI 1295952760 · NPPES record last updated Jan 12, 2015
Key facts
- NPI
- 1295952760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 44873 (CO)
- Practice address
- 181 West Meadow Drive
Vail, CO 81657 - Phone
- (970) 479-7225
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Colorado School of Medicine, Denver, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vail Valley Emergency Physicians PC
Practice addresses (Care Compare)
180 S Frontage Rd W
Vail, CO 81657-5038
Phone (866) 247-3141
Hospital & facility affiliations
- Vail Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.38 of 100
- Quality
- 55.42
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 65.85
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070822000559 | CO | Practitioner - Emergency Medicine | 4183716137 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44873 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Valley Emergency Physicians PC | Emergency Medicine | Current |
Accepting new patients |
Locations
1280 Village Rd
Beaver Creek, CO 81620
Phone (866) 488-4558
1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
180 S Frontage Rd W
Vail, CO 81657
Phone (866) 247-3141
181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 44873 | CO | Yes |
Addresses
Primary practice location
181 West Meadow Drive
Vail, CO 81657
Mailing address
27 Main Street, C301
Edwards, CO 81632
Phone (970) 569-3600
Other providers in Vail, CO
- Christina Marie Bourbeau
- Brett Bousquet
- Kiara Bowen
- Helen Clare Bradley
- Katherine Branson
- Andrew Broderick
- Laurence Winfield Brooks
- Joanna Lynn Brown
- Nicholas Peter Brown
- Cassidy Margaret Burdette
All providers in Vail, CO · Emergency Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.